不同透析模式对老年维持性血液透析患者低血压的疗效观察

Effects of Different Dialysis Modes on Hypotension in Elderly Maintenance Hemodialysis Patients

目的:探讨不同血液透析方式对老年尿毒症血液透析患者透析相关低血压的预防。方法:选择我院透析室规律血液透析的老年血透患者80例,以随机抽样法分为普通透析组和可调钠透析组、可调钠联合超滤曲线、低温可调钠联合超滤曲线等4组,观察治疗过程中患者的血压情况、透析前后血钠水平、透析间期体质量增加及口渴感。结果:可调钠透析组、可调钠联合超滤曲线组及低温可调钠联合超滤曲线组患者低血压发生率较普通透析组均显著降低(P<0.01)。结论:可调钠透析、低温可调钠及其联合超滤曲线等模式能改善老年患者血液透析相关低血压的发生,并可改善预后。

OBJECTIVE ：To investigate the preventive effects of different modes of hemodialysis on dialysis-related hypotension in elderly hemodialysis hemodialysis patients. METHODS： A total of 8 elderly patients undergoing regular hemodialysis in our hemodialysis room were randomized to four groups ： common hemodialysis group, adjustable sodium dialysis group, adjustable sodium plus ultrafiltration curve group, low temperature adjustable sodium plus uhrafiltration curve group. The four groups were followed with regard to blood pressure during treatment, serum sodium levels before and after dialysis, weight gain during dialysis and thirst. RESULTS： The incidence of hypotension in adjustable sodium dialysis group, adjustable sodium plus uhrafihration curve group and low temperature adjustable sodium plus uhrallltration curve group were all significantly lower than in the common group （ P 〈 0.01 ）. CONCLUSION ： The adjustable sodium dialysis and the low temperature adjustable sodium alone or in combination with ultrafiltration curve dialysis modes resulted in lower incidence of hypotension in elderly hemodialysis hemodialysis patients and improved prognosis.